Pathophysiology Homework

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Question Description

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

  1. Height: 68 inches; weight 134.5 kg
  2. BP: 172/98, HR 88, RR 26
  3. 3+ pitting edema bilateral feet and ankles
  4. Fasting blood glucose: 146 mg/dL
  5. Total cholesterol: 250 mg/dL
  6. Triglycerides: 312 mg/dL
  7. HDL: 30 mg/dL
  8. Serum creatinine 1.8 mg/dL
  9. BUN 32 mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

  1. Describe the clinical manifestations present in Mr. C.
  2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
  3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
  4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
  5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
  6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

How does quantitative research apply to nursing.

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Answer the following questions in complete sentences:

QUANTITATIVE RESEARCH CRITIQUE GUIDE
Use the following guide in writing the critique:

1. Statement of the Problem/Purpose
 Is the problem/purpose clearly stated?
 Is it easy to identify and locate?
 Is it significant to nursing?
2. Review of Literature
 Is it recent? Five years or newer?
 Were primary sources of authorities or experts used?
 Is it relevant to the stated problem?
 Does it provide a solid basis for the study?
3. Conceptual/Theoretical Framework
 Is there a theoretical or conceptual framework, rationale, and/or map, and (if so) is it appropriate? If not, is the absence of
one justified?
 Are key concepts adequately defined conceptually?
4. Hypothesis(es) or research question(s)
 Are research questions and/or hypotheses explicitly stated? If not, is their absence justified?
 Are they adequately stated with clear specification of key variables and the study population?
 Are they placed in the contexts of a theoretical or conceptual framework?
5. Research Method(s)
 Were appropriate procedures used to safeguard the rights of study participants? Was the study subject to external review by
an IRB/ethics review board?
 Was study designed to minimize risk?
6. Research Design
 Does the approach fit the purpose and hypothesis (es)?
 Was the most rigorous possible design used, given the purpose of the research?
 Was the number of data collection points appropriate?
 Did the design minimize biases and threats to internal construct, and external validity of the study?
7. Population and Sample
 Was the population properly identified and described? Was the sample described in sufficient detail?
 Was the best possible sampling design used to enhance the sample’s representativeness? Were sample biases minimized?
 Was the sample size adequate? Was a power analysis used to estimate sample size needs?
8. Data Collection and Measurement
 Are the operational and conceptual definitions congruent?
 Were key variables operationalized using the best possible method and with adequate justification?
 Are instruments objective? Reliable? Valid?
 Were data collected in a manner that minimized bias? Were the staff that collected data appropriately trained?
9. Data Analysis
 Were appropriate statistical methods used, given the level of measurement of the variables, number of groups being
compared?
 Is a thorough descriptive analysis given?
 Were Type 1 and Type II errors avoided or minimized?
10. Presentation of Findings/Implications
 Are all hypotheses discussed with findings adequately summarized, with appropriate use of tables and figures?
 Are findings reported in a manner that facilitates a meta-analysis and with sufficient information needed for evidence based
practice?
 Were the recommendations for clinical practice and further research reasonable and complete?
 Are limitations presented and adequate?

see the instructions below

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Case Study: Prescribed Drugs with CAMs

A 35-year-old male, Mr. NX, presents to your clinic today with complaints of back pain and “just not feeling good.” Regarding his back, he states that his back pain is a chronic condition that he has suffered with for about the last 10 years. He has not suffered any specific injury to his back. He denies weakness of the lower extremities, denies bowel or bladder changes or dysfunction, and denies radiation of pain to the lower extremities and no numbness or tingling of the lower extremities. He describes the pain as a constant dull ache and tightness across the low back.

He states he started a workout program about 3 weeks ago. He states he is working out with a friend who is a body builder. He states his friend suggested taking Creatine to help build muscle and Coenzyme Q10 as an antioxidant so he started those medications at the same time he began working out. He states he also takes Kava Kava for his anxiety and garlic to help lower his blood pressure.

His historical diagnoses, currently under control, are:

Type II diabetes since age 27

High blood pressure

Recurrent DVTs

His prescribed medications include:

Glyburide 3 mg daily with breakfast

Lisinopril 20 mg daily

Coumadin 5 mg daily

Directions:

*****This Assignment may be submitted in a PowerPoint presentation with at least 10 slides or as an APA formatted paper of no more than five (5) pages excluding title page and references.

Based on the above case study, address each section of the Unit 9 Assignment template. Be sure to first view the Unit 9 Assignment Grading Rubric (found in the Grading Rubrics section under Course Resources) and use it to guide your completion.

  • Download the Unit 9 Assignment template or make a PowerPoint presentation.
  • Rename the downloaded template file as “FirstInitial+LastName_ MN553_Unit9.docx” (e.g., JDoe_MN553_Unit4.docx).
  • Review the Assignment grading rubric.
  • Complete the template, basing your responses on the case study above.
  • Support your arguments with appropriate evidence from the literature, citing and referencing in APA 6th edition style.
  • Upload your completed file to the unit 9 Assignment Dropbox. Please be sure to confirm that your file uploaded correctly.

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors

In seven slides complete the following

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MODULE OVERVIEW

The dramatic advances in medicine around the turn of the century transformed the hospital into the key resource and organization hub of the American health care system.

Hospitals became central to the delivery of patient care, the training of health personnel, and the conduct and dissemination of health care research.

Hospitals, and more recently, health systems management has grown in importance as hospitals have grown in size and sophistication and combined into multi-hospital systems. The job of implementing board policy and the responsibility for day-to-day operations is delegated by the board to the hospital administrator. The hospital administrator has direct responsibility for the management team, the finances of the institution, facilities, equipment, planning and implementing new services, hiring and supervising personnel.

One of the most important tasks is to keep communication flow between the various management teams (board, medical administration, and staff, hospital departments).

ORDER 2 INSTRUCTION

PowerPoint for the Board of Directors

For the final section of your PowerPoint to the Board of Directors, complete the following in 7 slides:

  1. Identify how current political and economic developments impact healthcare.
  2. Explain how socio-cultural factors play a role in providing healthcare within the hospital.
  3. Explain the impact of the Hospital’s Ethical Committee and its duties.
  4. Identify the impact of technological advancements within the organization.

Dedicate one slide to complete a PEST analysis using the below grid (PEST was created by Francis J. Aguilar who discusses a mnemonic for the four sectors of his taxonomy of the environment: Political, Economic, Socio-cultural, and Technical). In each box, identify at least 3-4 impacting factors.

Political

Economic

Socio-cultural

Technological

Support your thoughts with 2-3 scholarly references.

Combine the slides from your previous SLPs, including this final set, and create one list with all your reference slides.

At this point, your PowerPoint should be 24-30 slides, not including your title or reference slides. You should have 8-11 references.

EXPECTATION

  1. Conduct additional research to gather sufficient information to justify/support your strategic plan.
  2. Limit your response to a maximum of 10 slides (title and reference page is not included in page number count).
  3. Support your report with peer-reviewed articles, using at least 3-4 references. Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.

What Are the Data Saying?

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Question Description

The DNP must have a basic understanding of statistical measurements and how they apply within the parameters of data management and analytics. This assignment will allow you to demonstrate your understanding of basic statistical tests and how to choose the appropriate test for the study being performed. You will also discuss the reliability and validity factors associated with the data sources used.

General Requirements:

Use the following information to ensure successful completion of the assignment:

Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Directions:

The purpose of this assignment is to write a paper including a comparison table. The table will be provided as an appendix to the final paper.

Locate a quantitative, qualitative, and mixed methods article related to your DPI topic. My DPI topic is about if distractions and interruptions affect nursing shift to shift handoff communication in the ICU.

Using the “Comparative Table Template,” create a table that compares quantitative, qualitative, and mixed methods articles. Provide the table as an appendix to the paper.

Organize the table according to the following.

Type of article.

Title of the article.

Type of analysis: Describe the process of analysis. There can be more than one.

Applicability of test: Describe other analyses that could be used and why?

Reliability and validity: Describe either the reliability and validity measures of tools used in the study or the techniques used to enhance reliability and validity in the study.

Write a 1,000 to 1,250 word paper discussing the application of data analysis, reliability and validity, and assorted statistical tests used in health related research. Include the following in your paper:

State the types of study used in each article.

Discuss the types of statistical tests used within each article and why they have been chosen.

Discuss the applicability of the chosen statistical test and why the statistical test was chosen.

Discuss the differences between parametric and nonparametric tests and how they were applied in the articles you chose.

Evaluate how the factors of reliability and validity are accounted for in the articles (of instruments and surveys or in the design and data collection conducted).

Summarize how the chosen studies could be applied within the context of your practice.

Quality Dimensions measure

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  1. As a team, consider the following scenario:
    On Dec. 7, 2000, the Cincinnati Occupational Safety and Health Administration (OSHA) office heard through media and police reports that there were two deaths at a nursing home in Ohio. OSHA determined that the Food and Drug Administration (FDA) should take a lead role in performing an investigation.
    Because the nursing home had many residents who had unhealthy respiratory systems, the nursing home routinely ordered and received tanks that contained pure oxygen. During one delivery, the supplier mistakenly delivered one tank of pure nitrogen in addition to the three tanks of pure oxygen that had been ordered. The nitrogen tank had both an oxygen and nitrogen label. An employee at the nursing home connected the nitrogen tank to the nursing home’s oxygen delivery system. This event caused two nursing home residents to die, and three additional nursing home residents were admitted to hospitals in critical condition. Within the following month, two of these three additional residents also died, bringing the total death toll to four. (Based on accident #837914 www.osha.gov)
    Write a 1,050- to 1,400-word paper in which your team compares the Normal Accident Theory to the Culture of Safety model. Include the following in your paper:

    • Explain what factors can play a role in organizational accidents similar to the one highlighted in the scenario.
    • How do organizational processes give rise to potential failures?
    • How can certain conditions influence errors and violations within the workplace (e.g., operating room, pharmacy, intensive care unit)?
    • What are the errors and violations committed by “sharp end” individuals?
    • How does the breaching of defenses or safeguards affect these accidents?
    • Explain why the FDA, not OSHA, was responsible for investigating this case.
    • Explain how the Culture of Safety model could have been applied to reduce risk in this scenario.
    • Explain the five general principles used in the Culture of Safety model.
    • Explain actions that could have been taken to manage risk by applying each of the five general principles used in the Culture of Safety model to this scenario.

    Cite at least 3 peer-reviewed, scholarly, or similar references, and your textbook to support your assignment.
    Format your paper according to APA guidelines.My portion of the assignment is Explain actions that could have been taken to manage risk by applying each of the five general principles used in the Culture of Safety model to this scenario

How does qualitative research apply to nursing?

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Question Description

Please answer the following questions in complete sentences:

QUALITIATIVE RESEARCH CRITIQUE GUIDE
1. Is the research tradition for the qualitative study identified? If none was identified, can one be inferred? If more than one
was identified, is this justifiable or does it suggest “method slurring”?
2. Does the study purpose match the study design? Was the best possible design (or research tradition) used to address the
study purpose? Is the research question congruent with a qualitative approach and with the specific research tradition?
3. Is the design appropriate, given the research question? Does the design lend itself to a through, in-depth, intensive
examination of the phenomenon of interest?
4. Does the report describe an explicit theoretical or conceptual framework for the study? If not, does the absence of a
framework detract from the significance of the research or its conceptual integration?
5. Given the nature of the data, was the data analysis approach appropriate for the research design?
6. Is the category scheme described? If so, does the scheme appear logical and complete? Does there seem to be unnecessary
overlap or redundancy in the categories? Were manual methods used to index and organize the data, or was a computer
program used?
7. Did the report adequately describe the process by which the actual analysis was preformed? Did the report indicate whose
approach to data analysis was used (e.g., Glaserian or Straussian, in grounded theory studies)?
8. What major themes or processes emerged? If excerpts from the data are provided, do the themes appear to capture the
meaning of the narratives?
9. What evidence did the report provide that the analysis is accurate and replicable? Were data displayed in a manner that
allows you to verify the researcher’s conclusions?
10. Did the analysis yield a meaningful and insightful picture of the phenomenon under study? Did the report give you a clear
picture of the social or emotional world of study participants?
11. Which specific techniques (if any) did the researcher use to enhance the trustworthiness and integrity of the inquiry?
Where these strategies used judiciously and to good effect? Given the efforts to enhance data quality, what can you conclude
about the study’s validity/integrity/rigor/trustworthiness? Does the report adequately address the transferability of the
findings?
12. Did the report discuss any study limitations and their possible effects on the credibility of the results or on interpretations
of the data? Were results interpreted in light of findings from other studies? Did the researchers discuss the study’s
implications for clinical practice or future research?

Writing Prompts on Various Case Studies

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Question Description

Prompt 1 – Ms. Arryn, age 35, was given a Pap test during a routine medical checkup. The test showed marked dysplasia of cervical cells but no sign of infection.

Questions:

1.Discuss the purposes and uses of diagnostic testing and how it applies in this scenario.

2. Discuss how the following terms might apply to this scenario: prognosis, latent stage, remission, exacerbations, predisposing factors

3. Compare and contrast the various types of common cellular adaptations, focusing on dysplasia and the testing for this condition.

Prompt 2 – A young boy, age 2 years, pulled a pot of boiling water over his head, arms, and chest, resulting in a mixed burn to the anterior surface of his head and arms, chest, and feet.

Questions

1. Discuss the factors that determine the classification of the types of burns and determine what type(s) this victim probably has.

2. Discuss how the physicians in the emergency room will determine the percentage of the body that may be burned and what special considerations may be involved when evaluating a child.

3. Discuss the additional effects associated with burns and the treatments involved, which include shock, pain, electrolyte and fluid imbalances, respiratory complications, infection, metabolic problems, and anemia.

4. Discuss the actions to promote the healing of burns. Specifically address the problems that may be associated with scarring and the effects of growth that this 2-year-old may experience.

Assignment Guidelines:

  • This assignment must be in APA format: Times Roman 12 font, double spaced, and include title and reference page.
  • The assignment must be in paragraph form using complete sentences and avoiding bullet points and numbered list.
  • Use a Level 1 heading to separate your sections (Page 62 of the APA Publication Manual).
  • Title and reference pages do not count toward the total word or page count.
  • At least two outside sources must be referenced and cited in the paper (resources must be peer reviewed from within the last 5 years)
  • Minimum of 150 words per prompt
  • LINK TO TEXTBOOK: https://ia600208.us.archive.org/24/items/Pathophsy…


The question and detail is below

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Question Description

Professional Advocacy through Association Membership

Professional advocacy is about supporting the interests of one’s profession. Professional associations advocate for their members by uniting as a single voice and taking action to advance or remove barriers to the profession. Nurse practitioners (NPs) unite in member-created associations and organizations at many different levels: local, state, national, and international. They unite as specialty groups to further the goals or interests of their profession. Each of these organizations has a purpose or mission, membership benefits, and role in professional advocacy. While individually the NP may be able to contact a legislator on an issue of concern, a professional organization has the collective power of being able to be heard in numbers. These organizations are poised to take the course of action needed to influence the stakeholders. Just as these groups take action to make change, individual NPs must take action to promote their own professional interests and causes. One of the best ways a professional can support their profession is by joining an association or organization.

Directions

In a 3–5 page paper address the following:

  1. Join a NP association at the local, state, national or international level. (join as a student)
  2. Discuss the mission and vision of this organization.
  3. Describe the requirements for membership.
  4. Explain at least five benefits to belonging to this organization.
  5. Demonstrate understanding of the advocacy efforts of this organization by answering the following:
  • What are the current key issues of concern (name at least three)?
  • What actions are being taken by this organization to address these concerns?
  • What current legislative efforts are being done by this organization in one of the following areas:
    • expanding the NP scope of practice
    • NP regulation of practice
    • Healthcare policy
    • Payment issues
    • Prescriptive privileges
  • Reflect on how your membership to this organization can promote the NP profession.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section under Course Resources.

Assignment Requirements

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above)
  • consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary
  • utilize spelling and grammar check to minimize errors

Your writing Assignment should:

  • follow the conventions of Standard English (correct grammar, punctuation, etc.)
  • be well ordered, logical, and unified, as well as original and insightful
  • display superior content, organization, style, and mechanics
  • use APA 6th Edition format for organization, style, and crediting sources. Refer to the APA Progression Ladder.

How to Submit

10 slides PowerPoint presentation about Managing Diversity

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Question Description

The 10 slides do not include title and references. Please be specific to the rubric!

The instructor is big on following the rubric. Also don’t forget to address the 4 questions.

Powerpoint presentation APA format. Please include references

The area of diversity I chose is Gender Diversity

Instructions

As the Director of Human Resources, the CEO and other executive leaders have requested you to design a training presentation on “Best Practices” for managers on diversity in the workplace. In your training guidelines you will want to address the following areas:

  1. Introduce diversity importance to managers.
  2. Assess some common mistakes or problems that may happen if management of diversity is not used.
  3. Provide at least three best practices managers can take away from the training.
  4. Conclude your training.

Managing Diversity

Levels of Achievement

Total Assessment Points: 70

Emerging

Competence

Proficiency

Mastery

Introduction

(10 Pts)

Presentation offers little explanation as to the importance of diversity best practices.

Presentation offers vague explanation as to the importance of diversity best practices, but gives no examples.

Presentation is clear on explanation as to the importance of diversity best practices, but gives poor examples.

Presentation offers clear explanation as to the importance of diversity best practices, and gives relevant examples.

Points: 1

Points: 4

Points: 8

Points: 10

Address Problems

(25 Pts)

Presentation offers no clear ideas for addressing problems if management does not implement diversity best practices.

Presentation offers vague ideas for addressing problems if management does not implement diversity best practices, but no resources.

Presentation offers clear ideas for addressing problems if management does not implement diversity best practices but no appropriate resources.

Presentation offers clear ideas for ideas for addressing problems if management does not implement diversity best practices, and appropriate resources.

Points: 5

Points: 12

Points: 20

Points: 25

Best Practices

(15 Pts)

Presentation did not provide best practices for management. Provided no details and examples.

Presentation somewhat discussed best practices for management. Provided little detail and examples.

Presentation discussed best practices for management, but wasn’t thorough. Provided some detail and examples, but not substantial enough to reinforce thoughts.

Presentation thoroughly discussed best practices for management. Provided details and examples.

Points: 0

Points: 6

Points: 10

Points: 15

Conclude Presentation

(20 Pts)

Presentation did not recap or conclude presentation for training purposes.

Presentation somewhat recapped training program for the workplace. Provided little detail and examples.

Presentation recapped training program for the workplace. Provided some detail and examples, but not substantial enough to reinforce thoughts.

Presentation thoroughly discussed training program for the workplace. Provided details and examples.

Points: 0

Points: 10

Points: 15

Points: 20